The Alma-Ata Conference, held on September 12, 1978, in Almaty, Kazakhstan, aimed to promote health quality and early disease detection through regular health check-ups, particularly for the elderly. Key components of health assessments include physical examinations, cancer screenings, and dental evaluations to manage and lessen health risks. The document highlights the importance of various screenings, including mammograms and tests for cardiovascular, colorectal, and prostate diseases, to ensure comprehensive health maintenance.

3. When and where was Alma-
Ata conference held?

4. 1978, 12 september
Almaty (Alma-Ata) in Kazakhstan.

6. OBJECTIVES
• Introduction
• Purpose
• Importance of periodic medical
examination
• Component of Regular health check up
• Mammogram Test
• Summarization

7. FIRST PORTION

8. INTRODUCTION

9. Purpose
• To maintain the quality of health.
• To help identify any risk or disease at an early
stage.
• To find out potential health issues before they
become a health problem.
• To lower health costs.
• To identify stress related disease.

10. IMPORTANCE
Regular Health check up is important in every stage of life but it
is more important for elderly people because it helps to:
 assess their level of well being.
 identify the health risk factors in elderly.
 detect the disease at an earlier stage, further aiding in
better control of disease and hence decrease risk of
complications and reduce mortality in some cases .
 reinforce positive promoting and protecting behaviours.
 evaluate home environment, if examination is done
at home.
 provide counseling and referral services by health
proffesionals.

11. COMPONENET
1. Physical examination(annualy)
2. Regular dental assessments: The teeth,gums,mouth and
throat need to examined by a dentist regularly.Prompt
treatment should be done for any dental problem.
3. Opthalmologic assessement: Macular degeneration and
glaucoma begin to appear with age. The elderly need an eye
check -up every one to two years after the age of 60 to
assess for visual changes,glaucoma,and cataracts.

12. The Most Common Dental
Problems
1.Bad Breath. Bad breath, also called
halitosis, can be downright
embarrassing
2.Tooth Decay
3.Gum (Periodontal) Disease
4.Oral Cancer
5.Mouth Sores
6.Tooth Erosion
7.Tooth Sensitivity
8.Toothaches and Dental
emergencies.

16. SECOND PORTION

17. CONTINUE...
4.Screening for cardiovasscular disease: B.P,
Weight,ECG, and lipid profile.
5. Screening for cancer
a. Skin Cancer:
• Look out for unusual moles or unusual changes
on the skin.
b. Breast Cancer:

18. CONTINUE
• Breast self examination monthly.
• Clinical breast examination and mammography every
one to two years for screening breast cancer. So,
include breast cancer for women over age 40.
• Breast cancer in men is not always at the top of the list
but men can have breast cancer. So, include breast
examination in the health check-up and encourage
them to do self examination at home.

19. CONTINUE..
c. Uterine and cervical cancer:
• Annual examination with
papanicolaou(pap) test is
recommended every three years in
older women to rule out cervical or
genital malignancies.
• Pap test may be done every 3 to 5
years after hysterecctomy for
noncancerous process.
• If a woman is over 65 years old and
has had threee negative pap
smears in a row a pap smear is not
necessary.

20. CONTINUE
• Regular pelvic exam helps detect many problems
related to vagina, cervix and uterus.
d. Colorectal Cancer:
• yearly stool samples test for occult blood.
• sigmoidoscopy every 5 years after age 50.

21. • Doctor recommend a rectal exam, a stool test
and fecal occult blood test every year to-
I. detect the presence of a mass or any internal
bleeding that cannot be seen with naked eye, or
II. to detect treatable problems in the colon or
prostrate in men.
• Colonoscopy is generally done every 10 years
after the age of 50.
• Sigmoidoscopy, and intenal examination of the
lower bowel(colon) and recctum, is advised after
five years..

24. e. Prostate disease and cancer
• Yearly rectal examination and blood test for
prostate specific antigen(PSA) in men over age
50 to screen for prostate disease.
f. Testes cancer
•Testes self Examination monthly
g. screening for lung disease
•The older adults with increase risk(such as the
institutionalized elderly or those with medical risk
factor such as diabetes or immunosuppresion)
should be screened anually for tuberculosis via
test.

25. • Chest -rays can rule out lung
cancer,emphysema,tuberculosis and COPD
which is anothe form of lung disease. If
• If the elderly has been smoker in the past or the
work place posted a hazard to the breathing an x-
ray can let elderly know there are no problems.
6. Screening for thyroid problems
• Thyroid hormone test should be tested to screen
thyroid problems once every five years, especially
for women.

26. 7. Screening for osteoporosis
 A bone density test is recommended for women
over the age of 60 (and especially women who
are prone to osteoporosis as they age) on a
yearly basis to detect early signs of osteoporosis.
8. Provide immunization as recommeneded such as
Influenza vaccine,Pneumococal vaccine,e.t.c.

27. Bone densitometry

29. Mammogram test
• Mammogram is an X-ray picture of the breast.
• Mammography is designed to take images of the
patient's breasts in order to detect any tumors or other
tissue abnormalities.
• It is a very useful procedure in detecting breast cancers.
• This is used to examine changes in the breast of a
woman who do not have any signs or symptoms of
breast cancer.

32. REFERENCE
• Aryal,P. and Shrestha.A,Geratric Nursing(2018),Akshav
Publication Kathmandu (page no.375-377)
• https://www.google.com/search?q=regular+health+check+
up&rlz=1C1CHBF_enNP904NP904&oq
• https://www.google.com/search?q=heart&rlz=1C1CHBF_e
nNP904NP904&sxsrf
• https://www.google.com/search?q=purpose+of+regular+ch
eck+up&rlz
• https://www.google.com/search?q=colorectal+cancer&rlz=
1C1CHBF